Adult, elderly & childn ≥12 yr 2 actuations in each nostril once daily to bd. Decrease to 1 actuation in each nostril daily once adequate control is achieved. Max daily dose: 4 actuations in each nostril. Childn 4-11 yr 1-2 actuations in each nostril once daily. Max daily dose: 2 actuations in each nostril.
Should not be used in patients who have experienced recent nasal septal ulcers, surgery or trauma until healing has occurred. Increased risk of systemic effects w/ larger doses. Possible adrenal insufficiency & w/drawal symptoms in patients transferring from systemic to topical corticosteroid. Increased susceptibility to infection. Use w/ caution in patients w/ systemic infections, active or quiescent TB infection, or ocular herpes simplex. Avoid exposure to chickenpox & measles. Must not be inhaled in acute bronchospasm or status asthmaticus. May cause HPA axis suppression particularly in younger childn, in patients receiving high doses for prolonged periods, when used on large or denuded areas of the body, or when used w/ an occlusive dressing. Avoid spraying to the eyes. Concomitant use w/ other inhaled corticosteroids. Pregnancy. Contraindicated in nursing mothers. Ped patients <3 mth; may cause growth velocity reduction in ped patients.
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